A kind of oxygen drives atomization and forms mutually the device of Extrinsic positive end expiratory pressure
Technical field
This utility model relates to the nebulizer art, refers in particular to the device that a kind of oxygen drives atomization and forms mutually Extrinsic positive end expiratory pressure.
Background technology
Chronic obstructive pulmonary disease (Chronic Obstructive Pulmonary Disease, COPD) be a kind of disease with flow limitation feature, main manifestations is chronic cough, expectoration, acute attack (acute exacerbation of chronic obstructive pulmonary disease, AECOPD) time, cough aggravation, amount of expectoration increase, cough yellowish purulent sputum and dyspnea, low ventilation even occurs, finally cause the respiratory failure of hypoxemia and hypercapnia.Sputum can increase the weight of low ventilation, therefore promotes that expectoration is one of primary treatment measure of acute exacerbations in patients with chronic obstructive pulmonary disease.It is the main method that promotes at present expectoration that atomization sucks, and the most popular method of atomization is oxygen driving atomization.Yet, while existing the AECOPD patient of hypercapnia to utilize the oxygen Atomization inhalation, elimination due to hypoxemia, respiratory frequency and the degree of depth reduce, the alveolar minute ventilation reduces, and causes the raising of blood carbon dioxide level, increases the weight of respiratory acidosis, reduce the cough ability, be unfavorable for that the patient removes airway secretions.
The utility model content
In view of this, this utility model is for the disappearance of prior art existence, its main purpose is to provide the device that a kind of oxygen drives atomization and forms mutually Extrinsic positive end expiratory pressure, it can effectively solve, and the alveolar minute ventilation that existing oxygen Atomization inhalation device causes reduces, the blood carbon dioxide level improves, respiratory acidosis increases the weight of and the cough ability reduces, and is unfavorable for that finally the patient sucks the purpose that reaches the removing airway secretions by atomization.
For achieving the above object, this utility model adopts as the purgation technical scheme:
A kind of oxygen drives atomization and forms mutually the device of Extrinsic positive end expiratory pressure, includes oxygen and drives atomising mechanism, T junction and be difficult to articulate; The first opening of this T junction is communicated with the outlet that this oxygen drives atomising mechanism, in this first opening, be provided with limiting plate, on this limiting plate, be provided with through hole, for this through hole, be provided with air-breathing controlling organization, this air-breathing controlling organization includes air-breathing unidirectional valve, one-way intake connector, the first spring and be used to regulating the first regulating part of the first spring tension; This air-breathing unidirectional valve is positioned at outside the side of limiting plate away from the first opening, one end of this one-way intake connector is connected with air-breathing unidirectional valve, the tail end of this one-way intake connector drives atomising mechanism and passes aforementioned through-hole towards oxygen, this the first regulating part is installed on the tail end of one-way intake connector, this first spring housing is loaded on outside the one-way intake connector, and the two ends of the first spring are butted on respectively on limiting plate and the first regulating part; This is difficult to articulate and is connected with the second opening of T junction.
Preferably, on the lateral surface of the 3rd opening part of described T junction, be provided with the expiration steam vent, for this expiration steam vent, be provided with the expiration controlling organization, this expiration controlling organization includes expiration unidirectional valve, the second spring and be used to regulating the second regulating part of the second spring tension; This second regulating part is installed on the 3rd opening part of T junction, and the two ends of this second spring are butted on respectively on expiration unidirectional valve and the second regulating part; Under initial condition and suction condition, this expiration unidirectional valve stops that the gas in T junction discharges from the expiration steam vent, and under the expiration state, this expiration unidirectional valve moves compression the second spring and the expiration steam vent opened to the gas of discharging in T junction.
Preferably, described the second regulating part is a lid, and the 3rd opening of this lid and T junction is screwed together.
Preferably, described one-way intake connector is a double-screw bolt, and this first regulating part is a nut sheet, and this nut sheet and this double-screw bolt are screwed together.
This utility model compared with prior art has obvious advantage and beneficial effect, particularly, and as shown from the above technical solution:
By utilizing air-breathing controlling organization, and cooperation expiration controlling organization, the atomization gas that air-breathing oxygen is arranged, help the dilution of airway secretions and improve blood oxygen saturation, the raising of blood oxygen is conducive to improve patient's dyspnea and initiatively coughs and remove airway secretions, simultaneously, by Extrinsic positive end expiratory pressure, resist COPD patient's intrinsic positive end expiratory pressure, be conducive to lower the concentration of blood carbon dioxide, accordingly, not only can remove airway secretions, and because of oxygen uptake, not cause the retention of carbon dioxide.
For more clearly setting forth architectural feature of the present utility model and effect, below in conjunction with accompanying drawing and specific embodiment, this utility model is elaborated.
The accompanying drawing explanation
Fig. 1 is the sectional view under the suction condition of preferred embodiment of this utility model;
Fig. 2 is the sectional view under the expiration state of preferred embodiment of this utility model.
The accompanying drawing identifier declaration:
10, oxygen drives atomising mechanism 20, T junction
21, the first opening 22, the second opening
23, the 3rd opening 24, limiting plate
25, through hole 26, expiration steam vent
30, be difficult to articulate 40, air-breathing controlling organization
41, air-breathing unidirectional valve 42, one-way intake connector
43, the first spring 44, the first regulating part
50, expiration controlling organization 51, expiration unidirectional valve
52, the second spring 53, the second regulating part
The specific embodiment
Please refer to illustrated in figures 1 and 2ly, the concrete structure that it has demonstrated the preferred embodiment of this utility model, include oxygen and drive atomising mechanism 10, T junction 20 and be difficult to articulate 30.
Wherein, this oxygen drives atomising mechanism 10 and includes the structures such as atomizing cup, medicine storage pool, siphon, oxygen air inlet, atomizer, high pressure oxygen by the oxygen air inlet when atomizer flows out, around its air-flow, produce negative pressure, this negative pressure by the liquid sucking-off in medicine storage pool, and with high pressure oxygen ejection, thereby produces atomization gas by siphon, it,, for existing mature technology, does not describe in detail concrete structure and operation principle that oxygen drives atomising mechanism 10 at this.
this T junction 20 includes the first opening 21, the second opening 22 and the 3rd opening 23, this first opening 21 is communicated with the outlet that this oxygen drives atomising mechanism 10, in this first opening 21, be provided with limiting plate 24, on this limiting plate 24, be provided with through hole 25, for this through hole 25, be provided with air-breathing controlling organization 40, this air-breathing controlling organization 40 includes air-breathing unidirectional valve 41, one-way intake connector 42, the first spring 43 and be used to regulating the first regulating part 44 of the first spring 43 tension force, this air-breathing unidirectional valve 41 is positioned at outside the side of limiting plate 24 away from the first opening 21, this air-breathing unidirectional valve 41 is be used to opening or close through hole 25, one end of this one-way intake connector 42 is connected with air-breathing unidirectional valve 41, the tail end of this one-way intake connector 42 drives atomising mechanism 10 and passes aforementioned through-hole 25 towards oxygen, this the first regulating part 44 is installed on the tail end of one-way intake connector 42, this first spring 43 is set in outside one-way intake connector 42, the two ends of the first spring 43 are butted on respectively on limiting plate 24 and the first regulating part 44, under initial condition and expiration state, this first spring 43 is not compressed, this air-breathing unidirectional valve 41 blocks this through hole 25, under suction condition, this air-breathing unidirectional valve 41 moves opens through hole 25, this first spring 43 is compressed simultaneously, and, specifically say, in the present embodiment, this one-way intake connector 42 is a double-screw bolt, and this first regulating part 44 is a nut sheet, and this nut sheet and this double-screw bolt are screwed together, and by turn nut sheet, can realize regulating the tension force of the first spring 43.
This is difficult to articulate and 30 with the second opening 22 of T junction 20, is connected, and it is as the gateway of patient respiratory.
And, on the lateral surface at the 3rd opening 23 places of this T junction 20, be provided with expiration steam vent 26, for this expiration steam vent 26, be provided with expiration controlling organization 50, this expiration controlling organization 50 includes expiration unidirectional valve 51, the second spring 52 and be used to regulating the second regulating part 53 of the second spring 52 tension force; This second regulating part 53 is installed on the 3rd opening 23 places of T junction 20, and the two ends of this second spring 52 are butted on respectively on expiration unidirectional valve 51 and the second regulating part 53; Under initial condition and suction condition, this expiration unidirectional valve 51 stops that the gas in T junction 20 discharges from expiration steam vent 26, under the expiration state, this expiration unidirectional valve 51 moves compression the second spring 52 and expiration steam vent 26 is opened to the gas of discharging in T junction 20.And in the present embodiment, this second regulating part 53 is a lid, and the 3rd opening of this lid and T junction 20 is screwed together, and with this, by the turn lid, can realize regulating the tension force of the second spring 52.
Under initial condition, this first spring 43 and the second spring 52 all are in the flexible state of nature, and this air-breathing unidirectional valve 41 blocks this through hole 25, and this expiration unidirectional valve 51 blocks this expiration steam vent 26.
The patient is by being difficult to articulate 30 the second openings 22 at T junction 20 when air-breathing, as shown in Figure 1, the interior formation negative pressure of this T junction 20, this air-breathing unidirectional valve 41 and expiration unidirectional valve 51 move towards airflow direction, so that the first spring 43 is compressed, this second spring 52 is stretched, and make expiration unidirectional valve 51 keep closing expiration steam vent 26, this air-breathing unidirectional valve 41 is opened through hole 25, so, the atomization gas of these oxygen driving atomising mechanism 10 generations is inhaled in patient's air flue along the pipelines in T junction 20.And, by regulating the tension force of first regulating part 44 change the first springs 43, can help the patient to adjust airway resistance, to increase alveolar ventilation, reduce the inspiratory muscles load, reduce patient respiratory flesh and do work and oxygen consumption, be conducive to the rest of respiratory muscle.
The patient is by being difficult to articulate 30 when the second opening 22 of T junction 20 is exhaled, as shown in Figure 2, these T junction 20 internal pressures raise, this air-breathing unidirectional valve 41 and expiration unidirectional valve 51 move towards airflow direction, so that this first spring 43 recovers deformation, this second spring 52 is compressed, and make this air-breathing unidirectional valve 41 close through hole 25, atomization gas is no longer exported, and expiration unidirectional valve 51 is outwards mobile, open expiration steam vent 26, so that the gas that the patient breathes out is discharged through expiration steam vent 26.Like this, expiration phase, the malleation of these T junction 20 interior generations, be equivalent to act on the Extrinsic positive end expiratory pressure of patient airway; The exogenous malleation of end-tidal can allow the equal pressure point of patient airway to central mobile, not there will be air flue to fall into and closes, and is conducive to the thorough eliminating of alveolar gas, reduces the level of blood carbon dioxide.And, by regulating the tension force of second regulating part 53 change the second springs 52, the patient of the different Extrinsic positive end expiratory pressures of can satisfying the demand.
Design spirit of the present utility model is: by utilizing air-breathing controlling organization, and cooperation expiration controlling organization, the atomization gas that air-breathing oxygen is arranged, help the dilution of airway secretions and improve blood oxygen saturation, the raising of blood oxygen is conducive to improve patient's dyspnea and initiatively coughs and remove airway secretions, simultaneously, by Extrinsic positive end expiratory pressure, resist COPD patient's intrinsic positive end expiratory pressure, be conducive to lower the concentration of blood carbon dioxide, accordingly, not only can remove airway secretions, and because of oxygen uptake, not cause the retention of carbon dioxide.
The above, it is only preferred embodiment of the present utility model, not technical scope of the present utility model is imposed any restrictions, therefore every foundation technical spirit of the present utility model, to any trickle modification, equivalent variations and modification that above embodiment does, all still belongs in the scope of technical solutions of the utility model.